Nattermann C, Katz L, Dancygier H
Medizinische Klinik II, Städtische Kliniken Offenbach.
Dtsch Med Wochenschr. 1993 Apr 23;118(16):567-73. doi: 10.1055/s-2008-1059364.
Nine patients (five women, four men, mean age 64.2 [49-77] years) with histologically confirmed gastric non-Hodgkin lymphoma (NHL) were investigated before starting therapy and during follow up, using endoscopic ultrasound, computer-assisted tomography and conventional ultrasound. Of ten gastric NHL infiltrations, nine were demonstrable using endoscopic ultrasound, three by computed tomography and two with conventional ultrasound. Accurate assessment of the primary tumour stage was possible in six out of eight cases using endoscopic ultrasound, but in none using tomography or conventional ultrasound. Three of these patients had inflammatory changes in enlarged paragastric lymph nodes and five malignant lymphomatous involvement. The latter was demonstrable by endoscopic ultrasound in all cases, by computed tomography in three cases and by conventional ultrasound in two cases. False positive results were obtained in two cases using endoscopic ultrasound and computed tomography. Regression of the tumour and of paragastric lymph nodes on radio-chemotherapy was demonstrable in two cases, and progression in one using endoscopic ultrasound; the other techniques showed progression of extragastric lymphoma involvement in only one case. Endoscopic ultrasound is an efficient method for demonstration and local staging of gastric non-Hodgkin lymphomas.
对9例经组织学确诊为胃非霍奇金淋巴瘤（NHL）的患者（5名女性，4名男性，平均年龄64.2 [49 - 77]岁）在开始治疗前及随访期间，采用内镜超声、计算机断层扫描和传统超声进行了检查。在10例胃NHL浸润中，9例可通过内镜超声显示，3例通过计算机断层扫描显示，2例通过传统超声显示。在8例患者中的6例中，使用内镜超声能够准确评估原发肿瘤分期，但使用断层扫描或传统超声均无法做到。这些患者中有3例胃旁淋巴结肿大伴有炎症改变，5例有恶性淋巴瘤累及。后者在所有病例中均可通过内镜超声显示，3例可通过计算机断层扫描显示，2例可通过传统超声显示。使用内镜超声和计算机断层扫描时，有2例出现假阳性结果。2例患者经放化疗后肿瘤及胃旁淋巴结出现消退，1例使用内镜超声显示有进展；其他技术仅在1例中显示胃外淋巴瘤累及有进展。内镜超声是显示胃非霍奇金淋巴瘤并进行局部分期的有效方法。
